WILKES REGIONAL MEDICAL CENTER· NORTH WILKESBORO, NC

HospitalCMS 3/5

1370 WEST D ST, NORTH WILKESBORO, NC 28659

Procedures offered

932 total

Procedure	Min	Avg	Max
Gonorrhea nucleic acid amplification CPT 87591 • Laboratory	$32	$52	$71
SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory	$51	$95	$209
Influenza virus assay with direct optical CPT 87804 • Laboratory	$18	$27	$41
Amniocentesis diagnostic CPT 59000 • Maternity	$127	$162	$237
Cordocentesis fetal blood sampling CPT 59012 • Maternity	$246	$318	$473
Chorionic villus sampling CPT 59015 • Maternity	$130	$208	$303
Fetal non-stress test CPT 59025 • Maternity	$38	$73	$98
Insertion cervical dilator CPT 59200 • Maternity	$44	$112	$207
Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity	$2,156	$4,037	$5,708
Vaginal delivery only CPT 59409 • Maternity	$956	$1,663	$2,302
Vaginal delivery including postpartum care CPT 59410 • Maternity	$1,068	$1,657	$2,441
External cephalic version CPT 59412 • Maternity	$101	$145	$194
Antepartum care 7 or more visits CPT 59426 • Maternity	$239	$1,108	$1,989
Postpartum care only CPT 59430 • Maternity	$172	$282	$512
Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity	$2,441	$4,485	$6,347
Cesarean delivery only CPT 59514 • Maternity	$894	$1,510	$2,302
Cesarean delivery including postpartum care CPT 59515 • Maternity	$1,335	$2,088	$2,470
Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity	$2,270	$3,357	$4,790
Obstetric ultrasound first trimester CPT 76801 • Maternity	$101	$162	$253
Obstetric ultrasound complete CPT 76805 • Maternity	$120	$209	$293
Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity	$132	$193	$361
Obstetric ultrasound limited CPT 76815 • Maternity	$43	$78	$175
Ultrasound transvaginal obstetric CPT 76817 • Maternity	$79	$142	$200
Interactive complexity add-on CPT 90785 • Mental Health	$6	$19	$28
Psychiatric diagnostic evaluation CPT 90791 • Mental Health	$201	$233	$256
Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health	$166	$250	$287
Psychotherapy 30 minutes CPT 90832 • Mental Health	$83	$111	$124
Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health	$55	$100	$130
Psychotherapy 45 minutes CPT 90834 • Mental Health	$108	$138	$153
Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health	$90	$129	$148
Psychotherapy 60 minutes CPT 90837 • Mental Health	$157	$198	$238
Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health	$145	$172	$196
Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health	$146	$216	$260
Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health	$70	$90	$109
Family psychotherapy without patient CPT 90846 • Mental Health	$116	$143	$172
Family psychotherapy with patient CPT 90847 • Mental Health	$144	$168	$190
Group psychotherapy CPT 90853 • Mental Health	$38	$47	$66
Brief emotional/behavioral assessment CPT 96127 • Mental Health	$7	$8	$12
Lumbar puncture diagnostic CPT 62270 • Neurology	$96	$171	$303
Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology	$118	$199	$305
Chemodenervation of muscle neck CPT 64616 • Neurology	$162	$200	$301
Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology	$205	$592	$927
Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology	$225	$651	$1,114
Electromyography (EMG) 1 extremity CPT 95860 • Neurology	$40	$149	$284
Electromyography (EMG) 2 extremities CPT 95861 • Neurology	$48	$140	$239
EMG needle each extremity complete CPT 95886 • Neurology	$53	$106	$243
Nerve conduction study 1-2 nerves CPT 95907 • Neurology	$56	$107	$223
Nerve conduction study 3-4 nerves CPT 95908 • Neurology	$68	$152	$282
Nerve conduction study 5-6 nerves CPT 95909 • Neurology	$82	$182	$337
Nerve conduction study 7-8 nerves CPT 95910 • Neurology	$105	$199	$443